Ins. comp suck sometimes...

Well I would have finished my MRI enterography if the ins comp was on the ball. I was canceled out
yesterday because I didn't get authorization in time. Geez I really needed that test. Now I gotta wait.

Rant over!!

I was certainly under some kinda dilution or delusion. Worse still I've seen waiting here all day for
someone to call and let me know what the devil is going on... Nada!!!!!! Humph!!!!!

OK I work for an insurance company and I can honestly say they do not all suck.  Yes, some have outdated processes and systems and some do have some bad apples working there.

That said, I always say that just like with docs, you are your best advocate when reviewing your insurance company.  If you have issues like cancelled tests, you should let your HR rep know at your place of employment and you should let the customer service department at the company know.

Soapbox done...I try to be one of the "good guys"

So it was the hospital/doctor that messed up?

I work for an insurance company, too, and have worked for a few others. I've never run into the type of people you would imagine to work in places that have the types of reputations that insurance companies have.

One of the purposes of a pre-auth is to verify whether it is a covered benefit. A covered service at a covered facility. You'd much rather know that before an expensive test than find out something wasn't covered until the bill came.

And the hospital knows it isn't likely to get paid by an individual if insurance isn't picking up part or all of the tab. So, they're not going to administer a non-emergency exam unless they've secured a payment agreement.